Beneficial effects of direct call to emergency medical services in acute myocardial infarction

Cabrita, Bruno; Bouyer-Dalloz, Florence; L’Huillier, Isabelle; Dentan, Gilles; Zeller, Marianne; Laurent, Yves; Bril, Antoine; Jolak, Mohammed; Janin-Manificat, Luc; Beer, Jean‐Claude; Yeguiayan, Jean-Michel; Cottin, Yves; Wolf, Jean-Éric; Freysz, M.

doi:10.1097/00063110-200402000-00003

Cited by 24 publications

(16 citation statements)

References 19 publications

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“…Previous studies showed that patients with a history of CAD could recognize the symptoms of MI and this promoted emergency medical system contact (3,14,15). However; in contrast to our expectation and also previous studies; presence of previous history of CAD or having cardiac risk factors was not associated with the ambulance usage in our study.…”

Section: Discussioncontrasting

confidence: 94%

Factors influencing the use of ambulance among patients with acute coronary syndrome: results of two centers in Turkey

Demirkan¹,

Ege²,

Doğan³

et al. 2013

Anadolu Kardiyol Derg

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Objective: In this study, we aimed to identify the factors influencing the use of ambulance among patients admitted to two Turkish hospitals with acute coronary syndrome (ACS). Methods: Overall, 330 with a mean age of 55±13 years, hospitalized patients with ACS at 2 different hospitals were included in this prospective cohort study. The factors influencing the use of ambulance hospital were investigated through a questionnaire. The comparisons were made between two groups regarding use of ambulance. The predictors of the use of ambulance were determined using multiple logistic regression analysis. Results: Despite the high rate of knowing the emergency service number of "112", of the 330 patents, only 96 (29%) used ambulance. Ambulance users had shorter arrival duration with median of 60 min vs 120 min (p=0.03). Presenting with ST elevation myocardial infarction (OR=3.127, 95% CI: 1.555-6.2877, p<0.001), severity of chest pain (OR=2.665, 95% CI: 1.938-3.665, p<0.001), presence of accompanying symptoms such as dyspnea (OR= 5.510, 95% CI: 2.614-11.614, p<0.001), dizziness (OR=4.172, 95% CI: 1.901-9.154, p<0.001) and vomiting (OR=3.756, 95% CI: 1.521-9.272, p=0.004), knowledge of cardiac risk factors (OR=10.512, 95% CI: 4.497-24.572, p<0.001) or chest pain related to heart attack and the importance of quickly seeking for medical care by calling ambulance (OR= 4.184, 95% CI: 2.528-6.926, p<0.001) are the factors associated with ambulance use. Conclusion: Using ambulance was in a very low rate among our study patients with ACS. Severity of symptoms, type of ACS and knowledge are seemed to be related with increased ambulance use. Informative health educational programs can be organized to achieve a behavioral change in using of ambulance. (Anadolu Kardiyol Derg 2013; 13: 516-22) Key words: Ambulance use, acute coronary syndrome, regression analysis Original Investigation Özgün Araşt›rma 516ÖZET Amaç: Ambulans kullanılması akut koroner sendromlu (AKS) hastaların hastaneye nakli sırasında sadece hızlı değil, aynı zamanda güvenilir ulaşım şeklidir. Bu çalışma AKS tanısı ile iki ayrı merkeze başvuran hastalarda ambulans kullanımını etkileyen faktörlerin belirlenmesi amaçlanmıştır. Yöntemler: Türkiye'de 2 ayrı hastanede AKS tanısı ile hastaneye yatırılan ve yaş ortalaması 55±13 olan toplam 330 hasta bu prospektif kohort çalışmaya dahil edilmiştir. Hastaların hastaneye ulaşım şeklini etkileyen faktörler bir anket formu aracılığıyla araştırılmıştır. Hastalar ambulans kullanıp kullanmadıklarına göre iki gruba ayrılarak karşılaştırmalar yapılmıştır. Ambulans kullanımını belirleyen faktörler çoklu lojistik regresyon analizi ile değerlendirilmiştir. Bulgular: Acil servis numarası "112"nin yüksek oranda biliniyor olmasına rağmen, 330 hastanın sadece 96'sı (%29) ambulans kullanırken, geri kalan 234 (%71) hasta kendi ulaşımını sağlamıştır. Ambulans kullananların hastaneye ulaşım süreleri (ortanca 120 dakikaya karşılık 60 dakika olarak) daha kısa olmuştur (p=0,03). ST yükselmeli miyokart enfarktüsü ile başvurma (OR=3,127, %9...

show abstract

Section: Discussioncontrasting

confidence: 94%

Factors influencing the use of ambulance among patients with acute coronary syndrome: results of two centers in Turkey

Demirkan¹,

Ege²,

Doğan³

et al. 2013

Anadolu Kardiyol Derg

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show abstract

“…Approximately one-half of the deaths attributed to ACS occur in the prehospital setting. has been shown to reduce delay in accessing definitive care (2)(3)(4)(5)(6)(7). Extension of care for ACS patients to the pre-hospital setting by EMS provides an opportunity for earlier initiation of evidence-based therapies, rapid access to aggressive treatment strategies, and coordination with capable centers for efficient delivery of care.…”

Section: Introductionmentioning

confidence: 99%

“…Despite the current recommendations, EMS underutilization by patients with ACS has been reported in different regions of the world (2,4,(12)(13)(14)(15)(16)(17). The reason for this has not been fully understood.…”

Section: Introductionmentioning

confidence: 99%

Utilization of Emergency Medical Services by Patients with Acute Coronary Syndromes in the Arab Gulf States

Fares¹,

Zubaid²,

Almahmeed³

et al. 2011

The Journal of Emergency Medicine

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“…The EMS may dispatch ambulance crews who are trained to detect and treat life-threatening complications at the accident scene and during transport. Several studies have shown that ambulance use may lead to greater and/or faster administration of early reperfusion therapy [13,14]. Regrettably, previous studies [15][16][17] indicated that almost half of AMI patients arrived at the hospital by other means than an ambulance.…”

Section: Introductionmentioning

confidence: 99%

The association between pre-infarction angina and care-seeking behaviors and its effects on early reperfusion rates for acute myocardial infarction

Yan

Song

Yang

et al. 2009

International Journal of Cardiology

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Beneficial effects of direct call to emergency medical services in acute myocardial infarction

Cited by 24 publications

References 19 publications

Factors influencing the use of ambulance among patients with acute coronary syndrome: results of two centers in Turkey

Factors influencing the use of ambulance among patients with acute coronary syndrome: results of two centers in Turkey

Utilization of Emergency Medical Services by Patients with Acute Coronary Syndromes in the Arab Gulf States

The association between pre-infarction angina and care-seeking behaviors and its effects on early reperfusion rates for acute myocardial infarction

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